Medical Biller and Collection Specialist

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We are looking for a skilled and experienced medical biller/collector who can effectively and consistently generate revenue through professional billing practices through proper and ethical collection efforts.

Duties & Responsibilities

The medical biller/collector is responsible for preparing and submitting patient bills for both insurance and private pay. You will generally act as an intermediary between our patients and their payors. You must maintain a high level of professionalism and adhere to all debt collection rules and regulations.

Medical Biller and Collection Specialist duties and responsibilities:

• Report directly to direct supervisor to review collections and go over report progress
• Organizing and keeping track of patient and/or employer outstanding debt accounts
• Contacting debtors to learn more about their payment status
• Negotiate with payments and payment plans with patients and employers
• Initiate calls to collect past balances
• Manage multiple delinquent accounts for past balance collection efforts
• Keep track of assigned accounts to identify outstanding balances
• Plan a course of action to recover outstanding payments
• Handle questions or complaints
• Investigate and resolve discrepancies in payments or accounts
• Remain PCI compliant when collecting past balances
• Remain HIPAA complaint when speaking with patients
• When necessary, working evenings or weekends
• Insurance claim preparation and submission
• Billable claim determinations, corrections, and submissions
• Account processing
• Information analysis
• Authorization and diagnosis code verification
• Batch preparation for posting
• Prepare and run reports
• Oversee patient accounts
• Appeal claim denials
• Answer patient questions and advise them on their insurance coverage and benefits
• Establish repayment plans and arrangements with delinquent patients
• Contact insurance billing departments to address and correct billing errors and omissions
• Processing Patient and Employer payments in the Virtual Terminal
• Posting Patient and Employer payments in Experity
• Receive email payments from Occ Med Payers
• Review Occ Med Charges prior to end of the month for correct billing
• Review Occ Med invoices at first of month for errors (Sent by Ann Gehl/Experity)
• Review eScreen report for Occ Med services to be billed under eScreen
• Correct Occ Med employer or TPAs to be billed, daily
• Correct Work Comp info, daily

You will handle billing and collections, claim denials, patient accounts, and various other administrative duties. All debt-related matters will be under your purview, and you will communicate regularly with payors to pursue payments.

Requirements

The right candidate should possess the following skills and qualifications:

• Medical terminology
• Legal compliance
• Documentation skills
• Accounts receivable and payable skills
• Experience with medical billing software
• EOB knowledge
• Coding knowledge (certifications not required)
• Claim terminology
• Knowledge of basic claims processing
• Knowledge of multiple insurance plans, including Medicare/Medicaid
• Organization and attention to detail
• Excellent phone skills
• Negotiation and conflict resolution skills
• Ability to work in a high-pressure environment
• High school diploma/GED required
• Prior medical billing and collection experience is required (2+ years)
• Office and database software skills (Excel, Word, EMR)
• Speaking and listening skills
• Multi-tasking and time management skills
• Ability to work independently

Most importantly, this person must have a positive and friendly attitude to handle patients who are overwhelmed or stressed out about their financial situations. They should also be able to handle high-pressure situations and be empathetic to help calm down disgruntled patients and employers. Experience in call centers is a plus. On the job training is available after the initial training period. Training will happen at our Springfield, MO location. Experience with a multiple line phone system is appreciated.

Job Location: Hybrid remote (this job combines on-site training at a specific location with remote flexibility) or in office option

Job Type: Full-time

Schedule for this job: 8-hour shift, Monday-Friday

Pay: $16-$18 per hour

Benefits Offered:

• After first 90 days of employment
  • Free clinic care for you and immediate family
  • Health insurance (covered at 75% by employer)
  • Dental insurance (covered at 100% by employer)
  • Vision Insurance
  • Short Term Disability Insurance (covered at 100% by employer)
  • Voluntary Life Insurance ($50,000 covered at 100% by employer)
  • 80 hours of paid time off
• After first year of employment
  • 401k (3% company match)

Annual evaluation with the opportunity for a 1.5% raise